The Wexford Integrated Care Programme for the Older Person (WEXICOP) is a community-based, Consultant-Lead Multidisciplinary Specialist Team. It focuses on providing expert coordinated care for the older adults experiencing frailty, falls, cognitive and functional decline within a community setting.
The WEXICOP project began in late 2021. The Wexford ICPOP Hub (WEXICOP) coordinates specialist gerontological services for older adults. This hub is staffed by a multidisciplinary team of professionals who receive referrals from GPs, PHNs, HSCPs, and acute hospitals. The WEXICOP team provides a comprehensive geriatric assessment and creates individualised intervention plans. The Hub also provides access to supporting services such as memory technology services, and community services.
The WEXICOP Consultant Geriatrician position will be structured across both community and acute settings, providing seamless access to both for older adults. The position will support the redesigned, integrated service, working closely with the Project Lead. This will ensure adequate clinical and leadership capacity for WEXICOP to deliver high-quality services to older people.
The "Frailty at the Front Door" team identifies older adults who would benefit from a comprehensive geriatric assessment and proactive inpatient management of their frailty. This team also identifies older adults suitable for discharge and early outpatient support at the WEXICOP Hub.
Community-based re-enablement teams facilitate individualised home-based rehabilitation to prevent hospitalisations and facilitate earlier discharge from the hospital. These teams will build upon existing partnerships with the Community Intervention Team and voluntary sector. The "Frailty at the Front Door" team is a multidisciplinary team consisting of a Clinical Nurse Specialist, Occupational Therapist and Physiotherapist.
This is a Consultant Physician in Geriatric Medicine post with full consultant responsibility in providing care to older frail patients both in the community and in the hospital.
The key responsibilities are to:
· Support the ICPOP MDT in ensuring the timely review of frail older people both in the community and in secondary care and develop clear pathways and referral models for same
· Provision of advice, screening, assessment and intervention to maximise the independence of older people to enable them to live in their community
· Create and develop new pathways that will support a safe discharge for older patients presenting to the acute sector
· Provision of outpatient services in both the ambulatory care hub and acute settings as service dictates
· Participation in disease specific clinics
· Lead on the development of a Specialist Geriatric Ward within Wexford General Hospital specifically directed at frailty initially
· Support admissions into rehabilitation beds from the community and the acute sector and complete a ward round weekly of the inpatients on the rehabilitation ward
· Provision of general internal medicine services and participation in the “On Take Roster”
· Participation in the administrative, planning and strategic development of the service for older people
· Participation in undergraduate and postgraduate teaching
· Support education and training for both hospital and community members of the MDT
This is not a complete list.
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